NCLEX-PN
NCLEX Questions on Neurological Disorders Quizlet Questions
Extract:
Question 1 of 5
The nurse should place the client in which position?
Correct Answer: C
Rationale: The side-lying position with the neck flexed facilitates access to the lumbar spine for a lumbar puncture and helps open the intervertebral spaces.
Question 2 of 5
The client is diagnosed with an SCI and is scheduled for a magnetic resonance imaging (MRI) scan. Which question would be most appropriate for the nurse to ask prior to taking the client to the diagnostic test?
Correct Answer: D
Rationale: MRI scans require lying still in a confined space, so assessing for claustrophobia (
D) is critical to ensure patient safety and comfort. Hearing issues (
A), dairy allergies (
B), and recent eating (
C) are not relevant to MRI preparation.
Question 3 of 5
Which nursing action is priority when caring for a client with suspected brain death?
Correct Answer: B
Rationale: A thorough neurologic assessment is critical to confirm brain death criteria, guiding further care decisions.
Question 4 of 5
The home-care nurse is counseling the client who has MS. The client is experiencing weakness, ataxia, intermittent adductor spasms of the hips, and occasional incontinence from loss of bladder sensation. Which self-care measures should the nurse recommend? Select all that apply.
Correct Answer: B,C,E
Rationale: Hot baths should be avoided; increasing the body temperature can exacerbate symptoms. Burns can occur with sensory loss associated with MS. A stretch—hold—relax routine is often helpful for relaxing the muscle and treating muscle spasms. Walking will help improve the gait, strengthen weakened muscles, and help relieve spasticity in the legs. If a muscle group is irreversibly affected by MS, other muscles can learn to compensate. A walker should be used for safety to help prevent falling. Widening the base of support increases walking stability, especially if ataxia (incoordination) is present; if feet are close together it increases the risk for a fall. Drinking fluids and then using an alarm to void 30 minutes later may be helpful in reducing incontinence from loss of bladder sensation.
Question 5 of 5
The nurse should place the client in which position?
Correct Answer: C
Rationale: The side-lying position with the neck flexed facilitates access to the lumbar spine for a lumbar puncture and helps open the intervertebral spaces.